MS. TERRY LYNN JORDAN


Address: 50 Lydia Lane, Youth Alternatives Ingraham, South Portland, ME 04106
Phone: 2077720732

MS. TERRY LYNN JORDAN (NPI# 1548409311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548409311
Entity Type Individual
Full Name MS. TERRY LYNN JORDAN
Credential LCSW
Practice Address 50 Lydia Lane
Youth Alternatives Ingraham
South Portland
ME 04106
Mailing Address 26 Falmouth St
Westbrook
ME 04092-2421
Practice Telephone 2077720732
Practice Fax Number 2078288046
Mailing Telephone 2072285909
Enumeration Date 2009-02-18
Last Update Date 2010-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LC11977 ME Behavioral Health & Social Service Providers

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1285066886 Terry Lee Jordan Social Worker 4396 Highway 80, Ruston, LA 71270-8948 2013-08-06
1407907959 Terry M. Jordan Respiratory Therapist, Registered 1959 Ne Pacific St, Box 356172, Seattle, WA 98195-0001 2007-01-12
1063509685 Terry A Jordan Social Worker 1530 S Olive St, Los Angeles, CA 90015-3023 2006-10-06
1114987765 Terry L Jordan Physician Assistant 1414 9th Ave, Altoona, PA 16602-2415 2006-03-27

Office Location

Street Address 50 LYDIA LANE
YOUTH ALTERNATIVES INGRAHAM
City SOUTH PORTLAND
State ME
Zip Code 04106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1972127330 Scott M Davis Md LLC Internal Medicine 89 Cannon Road, South Portland, ME 04106 2020-06-02
1568013936 Clara Cassidy Behavior Technician 50 Donald Bean Dr, Ste B, South Portland, ME 04106 2019-09-26
1336614346 Kari Whitney Nurse Practitioner Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 2018-10-05
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1730619610 John Preston Powell Psychiatry & Neurology 68 B Street Apt 4, South Portland, ME 04106 2017-06-14
1649706268 Gisselle Mani Student in an Organized Health Care Education/Training Program 30 Lydia Ln Apt 2115, South Portland, ME 04106 2017-05-02
1245786987 Jonathan Frank Olmes Optometrist 335 Maine Mall Rd., South Portland, ME 04106 2016-09-01
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679115695 New England Insight Counseling, LLC Social Worker 505r Ocean St, South Portland, ME 04106-6615 2019-10-10
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1093220253 Lydia Martzial Social Worker 100 Gannett Dr Ste A, South Portland, ME 04106-5900 2017-12-11
1003335738 Grace Nevins Social Worker 207 Gannett Dr # 3, South Portland, ME 04106-6910 2017-09-13
1154722338 Caitlin Macvane Social Worker 100 Gannett Drive, South Portland, ME 04106 2014-09-08
1104267442 Erin Daigle Social Worker 100 Waterman Dr Ste 201, South Portland, ME 04106-2880 2013-07-16
1003157884 Penelope Faith Snow Social Worker 11 Riverplace Dr, #11-16, South Portland, ME 04106-2071 2013-03-05
1134464175 Jennifer Stapleton Social Worker 125 John Roberts Rd Ste 12, South Portland, ME 04106-3295 2012-12-03
1790043909 Andrew Newton Capone-sprague Social Worker 6 Gerry Ave, South Portland, ME 04106-6103 2012-04-25
1922329994 Barron Morse Counseling Pllc Social Worker 609 Main St Ste 4, South Portland, ME 04106-5470 2010-06-14
Find all providers in SOUTH PORTLAND

Competitor

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City SOUTH PORTLAND
Zip Code 04106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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